Comprehensive Online Self-Monitoring to Support Clinicians Manage Risk of Suicide in Youth Depression: A Pilot Study
Abstract
Abstract. Background: Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. Aims: To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. Method: In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness. Results: The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation. Conclusion: The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.
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Some studies reported acceptability and ease of use among children, parents, and healthcare providers.
“acceptability, and ease of use among children, parents, and healthcare providers [58]”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [58]
Six studies (60%) reported mixed outcomes.
“6 studies (60%) reported mixed outcomes [58,63,68-70,72]”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [58]
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- Authors
- Hetrick, S. E., Goodall, J., Yuen, H. P., Davey, C. G., Parker, A. G., Robinson, J., Rickwood, D. J., McRoberts, A., Sanci, L., Gunn, J., Rice, S., & Simmons, M. B.
- Affiliations
- Orygen (AU)
- Orygen Youth Health (AU)
- University of Canberra (AU)
- The University of Melbourne (AU)
- ORCID
- Venue
- Crisis
- Publisher
- Hogrefe Publishing Group
- Published
- 2017-05
- Volume
- 38
- Issue
- 3
- Pages
- 147-157
- ISSN
- 0227-5910 (ISSN-L)
- 2151-2396
- OpenAlex
- W2525336293
- Cited by
- 31
- References
- 51
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 2 · 2020: 5 · 2019: 1 · 2018: 4 · 2017: 2
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Crisis (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- adolescent depression, suicide risk, clinician decision support, feasibility, acceptability, tablet-based assessment, risk management
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Major Depressive Disorder, Feasibility Studies, Female, Humans, Longitudinal Studies, Male, Patient Acceptance of Health Care, Surveys and Questionnaires, Suicide, Cohort Studies, Risk Assessment, Internet, Young Adult, Self Report, Suicidal Ideation
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